Things I need to know better...day 1 Flashcards
Patient has persistent Afib and LV systolic dysfunction…develops worsening fatigue, memory loss, weight gain, constipation, and dry skin. Also vague RUQ pain. What drug could be causing this?
Amiodarone –> hypothyroidism and hepatitis
A treated schizophrenic patient has acute dystonic reaction…what is the treatment?
Benzotropine or diphenhydramine
Woman with excess training/malnutrition has amenorrhea with low LSH, normal prolactin, and no withdrawal bleeding after 10d medroxyprogesterone challenge…. what is going on?
Functional hypothalamic amenorrhea –> low estrogen
Patient has blunt trauma to epigastrium and has pain/tenderness afterward…CT is normal and is sent home. Comes back 1wk later with fevers, chills, poor appetite and deep abdominal pain…what is going on?
Pancreatic injury –> abscess
Get a CT
What should you do with an anorexia patient with really low potassium, and/or phosphorus, and/or bradycardia?
Hospitalization
What is a possible end result of vesicouretral reflux?
Recurrent UTIs –> renal scarring
A patient has a mono-like illness with some GI issues and possibly a generalized macular rash…what should be considered?
Acute HIV…check viral load
A kid has multiple fractures, precious puberty, and large cafe-au-lait spots with irregular borders…what is going on?
McCune-Albright syndrome
3Ps
Precocious puberty
Pigmentation
Polyostotic fibrous dysplasia
A kid has mental retardation, seizures, visual impairment, and a port-wine stain over trigeminal area…what is going on?
Sturge-Weber
What cardiac abnormalities does hemochromatosis cause?
Restrictive cardiomyopathy
Conduction abnormalities
Where is the defect with osteogenesis imperfecta?
Type I collagen
A dad is wondering what he can do to best help his daughter who has just been diagnosed with schizophrenia?
Reduce stress at home
What is the most common complication with peptic ulcer disease?
Bleeding
Perforation, penetration, and gastric outlet obstruction can also happen
Person gets stabbed on one side of their spine…where will the contralateral decreased sensation start?
2 levels below injury
A person has rotator cuff injury range of motion…but no pain, just stiffness…what is going on?
Adhesive capsulitis
Patient has isolated thrombocytopenia…what should be looked for?
Viral cause…HBV, HCV, HIV
A mom is in labor, and the kid has variable decelerations…what should be done?
Reposition mom and give oxygen
What is the most common cause of pulseless collapse? What should be done?
Vtach or Vfib
Analyze rhythm and defibrillate